Provider Demographics
NPI:1992935944
Name:TSMM MANAGEMENT
Entity type:Organization
Organization Name:TSMM MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTENHOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-725-3859
Mailing Address - Street 1:1481 WESLEY WAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-7756
Mailing Address - Country:US
Mailing Address - Phone:740-653-3900
Mailing Address - Fax:740-653-3905
Practice Address - Street 1:1481 WESLEY WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-653-3900
Practice Address - Fax:740-653-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2479R310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility